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Study aim
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Determine the effect of sexual counseling by smartphone on sexual intimacy of women with breast cancer referring to Cancer Institute of Tehran Imam Khomeini Hospital2017-2018
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Design
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In this study, 60 women eligible for breast cancer were randomly assigned to two groups of intervention and control.The sample size is similar to other related studies, considering α = 05% and α = 2%, and the average changes (standard deviation). The score of sexual intimacy in the intervention and control groups is 6.6 (5.2) and 0.5 (10.80), respectively in the intervention and control group. Number of participants in both groups will be 35 individuals considering 10% loss in both groups that will make it to 30 induvial.
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Settings and conduct
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Design :It is a randomized controlled clinical trial without blinding.
setting and conduct: Cancer Center of Imam Khomeini Hospital in Tehran.
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Participants/Inclusion and exclusion criteria
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participants:the sample cinsisted of 20to60 women with breast cancer who have had amastectomy.
Entry criteria: Women aged 20 to 60 years old, being married, women with breast cancer who have had mastectomy, lack of prosthesis, having reading and writing skills, absence of chronic diseases (cardiac, diabetes, kidney, liver), having medium-to-low score based on sexual intimacy questionnaire, access to smartphone and internet, ability to use smartphone, and spouse consent.
Exclusion criteria: Unwilling to continue participating in the study, not attending the maximum of two counseling sessions, history of notable physical and psychological illnesses such as psychotic disorders including schizophrenia and severe depression, the occurrence of stressful events (death of close relatives, divorces, etc) during the study, drug abuse or addiction, being divorced or widowed.
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Intervention groups
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Intervention group: In this group, gender related counseling along with routine consultation related to mastectomy and chemotherapy will be provided twice a week via a telegram channel, which will allow people to enter into discussions and express their opinions. The telegram channel (for a period of one month consisting of 6 counseling sessions twice weekly) will be directed by the Admin and relevant contents will be posted. To ensure that the participants use the topics that are presented in the telegram in each session, several questions will be developed by the researcher related to the subject of each session and will be asked privately after each meeting. The meetings are as follows:
Session 1: Welcoming the group, introducing the participant, determining how to make relationship, the importance of marital relationships, sexual education and marital affairs. Session 2: Teaching the right techniques of sexual relation. Session 3: Introduction to the common sexual disorders of women. Session Four: Introduction to the physiology of sexual intercourse and behavior using body picture. Session 5: Training concentration skills, awareness of sensory symptoms, expression of excitement, and sexual self-expression. Session 6: Confronting negative and non-rational thoughts and reviewing the previous sessions
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Main outcome variables
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sexual intimacy